自体造血干细胞移植治疗霍奇金淋巴瘤复发/难治患者的十五年随访报告

Abredabo Sabree, Chiang Harrah, Klein Leonard, Rodriguez Tulio, Bitran Jacob D
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引用次数: 0

摘要

我们回顾了1992年至2022年这30年间接受自体干细胞移植治疗的复发/难治性霍奇金淋巴瘤患者的治疗结果,并报告了36名患者(19名男性,17名女性,中位年龄41岁)的15年无病生存期(DFS)和总生存期(OS)。多年来,该研究采用了不同的准备方案(卡莫司汀、依托泊苷、美法仑和 BCNU,依托泊苷、阿糖胞苷和美法仑)以及移植后巩固治疗(布伦妥昔单抗)。中位随访时间为15年,DFS为52%,OS为64%。长期并发症包括心肌病和二次恶性肿瘤。使用更好的挽救方案和移植后巩固治疗应能带来更好的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fifteen year Follow-up of Relapsed/ Refractory Patients with Hodgkin Lymphoma Treated with Autologous Hematopoietic Stem Cell Transplantation
We reviewed our outcomes of patients with relapsed/refractory Hodgkin Lymphoma treated with autologous stem cell transplant over a 30-year period, 1992 to 2022 and are reporting 15-year Disease-Free Survival (DFS) and Overall Survival (OS) of the 36 patients treated (19 men, 17 women, median age 41). Over the years there were different preparative regimens employed (carmustine, etoposide, melphalan and BCNU, etoposide, cytarabine, and melphalan) as well as post-transplant consolidation therapy (brentuximab). With a median follow-up of 15 years, the DFS is 52% and OS is 64%. Long-term complications include cardiomyopathy and second malignancies. The use of better salvage regimens and post-transplant consolidation therapy should lead to better outcomes.
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